NPIMap

Organization Active NPI

Pleasant Dental Center, Inc.

  • Dentist
  • Methuen, MA
National Provider Identifier
1457527814
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17823 Issued in MA
Legal business name
PLEASANT DENTAL CENTER, INC.
Practice address
126A Pleasant Valley St Ste 4
Methuen, MA 01844-7217
Phone
(978) 688-9200
Fax
(978) 688-4949
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George A Abou-Ezzi, D.M.D.NPI 1225158280
Title
Dentist
Phone
(617) 869-3658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 17823 MA Primary

Addresses

Primary practice location

126A Pleasant Valley St Ste 4
Methuen, MA 01844-7217

Mailing address

126A Pleasant Valley St Ste 4
Methuen, MA 01844-7217
Phone (978) 688-9200

National Provider Directory

National Provider Directory

Locations

126A Pleasant Valley St
Ste 4
Methuen, MA 01844
Phone (978) 688-9200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1457527814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST STE 4",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-688-9200",
            "fax_number": "978-688-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST STE 4",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-688-9200",
            "fax_number": "978-688-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ABOU-EZZI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-869-3658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "17823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.